Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.56 / $3,102.00 / $10,639.00	Facility		$423.56	$3,102.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $302.88 / $499.02	Professional		$261.36	$302.88	$499.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $108.70 / $166.35	Professional		$108.70	$108.70	$166.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.28 / $2,217.52 / $4,663.00	Facility		$1,328.28	$2,217.52	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $323.37 / $470.28	Professional		$256.80	$323.37	$470.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $258.80 / $259.32	Facility		$80.00	$258.80	$259.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $480.02	Facility		$480.02	$480.02	$480.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.56 / $404.46 / $619.01	Professional		$293.56	$404.46	$619.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.76 / $11,500.00 / $26,542.00	Facility		$1,329.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.36 / $2,671.20 / $3,167.69	Professional		$2,089.36	$2,671.20	$3,167.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.64 / $378.49 / $615.35	Facility		$277.64	$378.49	$615.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $437.00 / $561.85	Professional		$358.96	$437.00	$561.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $485.87 / $740.45	Professional		$296.39	$485.87	$740.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.64 / $384.90 / $631.83	Facility		$277.64	$384.90	$631.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $419.03 / $640.38	Professional		$299.26	$419.03	$640.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $345.24 / $543.09	Professional		$258.39	$345.24	$543.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $302.45 / $422.87	Professional		$266.39	$302.45	$422.87